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. yp.- <br /> � [+' y , � <br /> Q� H APPLJCATIC�N FOR ELE�TRICAL t'ER�lIT ' <br /> y <br /> �� � i <br /> �C O r i - <br /> O"J'. O 'INOF �„��,,,, ._; .. . { <br /> �� ~ �verett ,{ ! � �� . . <br /> �xp � 3U!LDING DEPARTMENT ,,, � : <br /> y ty ?59-8810 ��r`i; ':u; $ <br /> O H G <br /> �� 8 - <br /> (7r (] /� <br /> �y� ��e,� Lo�,,�,v,v�C,9a'�a�s ��l ��iesa �A�� 9c�1,3�1 �fi z 35'.�� .. <br /> H.y :rrner �-- Mail ddres�s� t�Y� hone <br /> g� H <br /> n� y enant a ddress ty i p hone . <br /> � <br /> �H y - ectnca ontractor ai dress ty p one +cen,e a _. <br /> y�.`� GLU/���2 ': <br /> _on�.rac{?`�n�^ o or . rop�ose se o m ding �� <br /> �f9�dc�':2 ��L�2 f15: /C. � <br /> f'ro�ectTess ' <br /> �$3d �ve2 2Pe� U ��"i�e2 ', 0.G�- � <br /> li,crip it on o�r o one: k <br /> c <br /> I <br /> / — � i <br /> : <br /> i ��� 4 <br /> � <br /> 1 ; ; <br /> � <br /> 1..."' -- t <br /> �, ,�p f <br /> � F <br /> NOTE: WAC 2°6-46-740 REOUIRES THAT PLANS FOR ELECiRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES . <br /> : BE AfPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITN SUCH JO&S MUST SHOW TIiE STATE APPROVED r'LANS BEFORE A p <br /> CITY QF EVERETT PERMIT WILL BE ISSUED. � <br /> I "�s NOTE: WIRING IN NON-DWELLIt�CS IS REUUIRED TO BE IN METAL�4ltCEWhYS, t <br /> 7 <br /> 3 <br /> � _ , : <br /> �� '���+� I HEREBY CEPTIFY THAT I HAVE READ AND EXAMINED THIS r <br /> APPLICATION A��KNOW THE SAME TO 0E TRUE AND CORRECT.ALL � <br /> PROVISIONS GF LAWS AND ORDINANCES GOVERNING THIS TYPE OF _ g <br /> WORK WILL BE COh1FLETED WITH YlHETHER SPECIFIED HEREIN OR ' <br /> �� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE ' <br /> 1 O�, � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY i <br /> OTHER STATE OR LOCAL LAW flEGULP7IWG CONSTRUCTION OR TH'c C�, � <br /> � PERFORMANCE OF CONSTRUCT�ON.THAT I AM AUTHORIZED 9Y THE �I �_ <br /> OWNER OF THIS PROPERTY TO FEflFOFM THE WORK FOR �VHICH FEE � �/ ' <br /> I �� APPLICATION IS IdADE AND I COMPLY WITH THE STATE � <br /> 1 � CONTRACTORS LAW 7827 RCV!AND 236.200 WAC. <br /> ` 1 <br /> \ E <br /> X �/� �) � r! <br /> � 3�.2�1� 'L <br /> "�( .� >� :r��F.�.t�� � f <br /> SignatU� Datc n�� i <br /> / 3�� ` - ' � <br /> �� � <br /> . ; <br /> ; _ , <br />